SEAC

Your Information:

Full Name (First, MI, Last)
Call Name
Title
Organization
Street Address 1
Street Addresss 2
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-Mail
Spouse/Guest

Please indicate if you wish to be recognized as attending your first meeting in one of the following categories:

New Member	Yes No
New ASA/ACAS	Yes No
New FSA/FCAS	Yes No

 

Select the appropriate registration fee:

**Please Select** SEAC Member - No Charge Non-Member Speaker - No Charge Non-Member - $200 Non-Member With Spouse - $250

If meeting fees are applicable, please remit them by sending a check to:

Michael Taht
Towers Perrin
One Alliance Center
3500 Lenox Road, Suite 900
Atlanta, GA 30326-4238
(404) 365-1615 (Phone)

Please make your check payable to: Southeastern Actuaries Conference

 

Workshops and Seminars:

Seminar Choice	**Please Select** Embedded Value IBNR Statistical Methods and Credibility None
Concurrent Session Choice	**Please Select** Life Insurance Health Insurance
Workshop Choice	**Please Select** Health Topics Life Products Life Valuation Professionalism None

 

If you have any comments, please list them below: